Journal of Vascular Medicine & Surgery

Abstract

Zone II Coverage in the Context of an Anomalous Left Vertebral Artery

Christian C Shults, Kenneth A Softness, Fadi Khouri, Julio Rodriguez and Vanketesh Ramaiah

Anomalous left vertebral arteries are uncommon occurring in roughly 4% of the population. Typically of no clinical consequence, they become very important in the context of endovascular repair of an arch aneurysm with Zone II coverage, requiring a deliberate strategy tailored to the anatomy. We describe three cases of aortic arch aneurysms with an anomalous vertebral artery, and discuss the different approaches available depending upon the anatomy.